﻿<!DOCTYPE html>

<html lang="en" xmlns="http://www.w3.org/1999/xhtml">

<head>
    <meta charset="utf-8" />
    <title></title>
    <style type="text/css">
        * {
            margin: 0;
            padding: 0;
            font-size: 12px;
            font-family: Arial;
            text-indent: 3px;
        }

        .wrapBox {
            width: 95%;
            margin: 0 auto;
        }

        body {
            font-family: SimSun !important;
            padding-top: 5px;
            padding-bottom: 10px;
        }

        p {
            margin: 0px;
            line-height: 140%;
        }

        footer {
            color: #333;
            font-size: 1rem;
            margin-bottom: 1.5rem;
            margin-right: 5%;
            margin-top: 1.2rem;
            text-align: right;
        }

        table,
        td {
            border: 1px solid #444;
            border-collapse: collapse;
            /* text-align: center; */
            height: 1.8rem;
        }

        .classItem {
            overflow: hidden;
            width: 100%;
        }

            .classItem .itemLeft {
                float: left;
                width: 50%;
            }

            .classItem .itemCont {
                width: 50%;
                float: left;
                text-align: center;
            }

                .classItem .itemCont .lag {
                    font-size: 16px;
                }

                .classItem .itemCont strong {
                    display: block;
                }

            .classItem .itemInput {
                border: 2px solid;
                background: #F1F4FF;
                height: 30px;
                line-height: 30px;
                margin-bottom: 5px;
                width: 80%;
                float: right;
            }

                .classItem .itemInput label {
                    width: 130px;
                    font-size: 14px;
                    background: #fff;
                    font-weight: bold;
                    text-align: center;
                    display: block;
                }

        /* .classItem .itemInput label::before {
            content: '';
            height: 0;
            width: 10px;
            height: 10px;
            border: 1px solid;
            text-align: center;
            margin: 19px 0 -17px -16px;
        }

        .classItem .itemInput.cur label::before {
            background: #444;
        } */


        table td {
            color: #000;
            font-size: 12px;
        }

        table .item2 {
            background: #B8CCE4;
            color: #000;
            font-size: 12px;
        }

        table .custStyle {
            background: #DCE6F1;
            color: #000;
            font-size: 12px;
        }

        table .mystyle {
            color: #000;
            font-size: 12px;
        }

            table .mystyle span {
                margin-left: 20px;
            }
    </style>
</head>

<body>
    <div class="wrapBox">
        <div class="classItem">
            <div class="itemLeft" style="width: 60%;">
                <div style="overflow:hidden">
                    <div class="itemCont" style="width: 40%;">
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                        <p>4221 WILSHIRE BLVD #308</p>
                        <p>LOS ANGELES, CA 90010</p>
                        <strong>华人部 213-351-1488</strong>
                    </div>
                    <div class="itemCont" style="width: 60%;">
                        <strong>coway-usa.com</strong>
                        <strong class="lag">中文服务中心：323-556-8425</strong>
                        <strong class="lag" style="margin-top:6px">English Customer Service：213-386-3033</strong>
                        <h3 style="text-align:center;">RENTAL/PURCHASE APPLICATION FORM</h3>
                    </div>
                </div>
            </div>
            <div class="itemLeft" style="width: 40%;">
                <div class="itemInput cur">
                    <label for="">Order No</label>
                </div>
                <div class="itemInput">
                    <label for="">Referral No</label>
                </div>
            </div>
        </div>

        <table style=" width: 100%;">
            <tr style="font-size: 1rem; background-color:#366092">
                <td style="text-align: center; color: #fff;" colspan="11">CUSTOMER INFORMATION</td>
            </tr>
            <tr>
                <td class="item2" style="width:200px">*RENTAL/PURCHASE TYPE</td>
                <td colspan="10" class="mystyle">
                    @Model.Data.BuyWay
                </td>
            </tr>
            <tr>
                <td colspan="1" class="item2"> *FIRST NAME (AS IN ID)</td>
                <td colspan="2">@Model.Data.Buyer.FirstName</td>
                <td colspan="2" class="custStyle">*LAST NAME (AS IN I.D.)</td>
                <td colspan="6">@Model.Data.Buyer.LastName</td>
            </tr>
            <tr>
                <td colspan="1" class="item2"> *SOCIAL SECURITY NUMBER</td>
                <td colspan="2">@Model.Data.Buyer.SocialSecurityNumber</td>
                <td colspan="2" class="custStyle"> *DATE OF BIRTH (mm/dd/yyyy)</td>
                <td colspan="6">@Model.Data.Buyer.DateOfBirth.ToString("MM/dd/yyyy")</td>

            </tr>
            <tr>
                <td colspan="1" class="item2">E-MAIL ADDRESS</td>
                <td colspan="2">@Model.Data.Buyer.EMail</td>
                <td colspan="2" class="custStyle">
                    TAX ID / BUSINESS
                    REGISTRATION NUMBER
                </td>
                <td colspan="6">@Model.Data.Buyer.TaxId</td>

            </tr>
            <tr>
                <td colspan="1" rowspan="2" class="item2"> *LEGAL ADDRESS /RESIDENCE</td>
                <td colspan="1" style="width:50px" class="custStyle"> STREET</td>
                <td colspan="6">@Model.Data.Buyer.LegalAddressStreet</td>
                <td colspan="2" class="custStyle"> APT #</td>
                <td colspan="1">@Model.Data.Buyer.LegalAddressApt</td>

            </tr>
            <tr>
                <td colspan="1" class="custStyle"> CITY</td>
                <td colspan="3">@Model.Data.Buyer.LegalAddressCity</td>
                <td colspan="1" class="custStyle"> STATE</td>
                <td colspan="2">@Model.Data.Buyer.LegalAddressState</td>
                <td colspan="2" class="custStyle"> ZIP CODE</td>
                <td colspan="1">@Model.Data.Buyer.LegalAddressZipCode</td>
            </tr>


            <tr>
                <td colspan="1" rowspan="2" class="item2">BILLING ADDRESS</td>
                <td colspan="1" class="custStyle"> STREET</td>
                <td colspan="6">@Model.Data.Buyer.BillingAddressStreet</td>
                <td colspan="2" class="custStyle"> APT #</td>
                <td colspan="1">@Model.Data.Buyer.BillingAddressApt</td>

            </tr>
            <tr>
                <td colspan="1" class="custStyle"> CITY</td>
                <td colspan="3">@Model.Data.Buyer.BillingAddressCity</td>
                <td colspan="1" class="custStyle"> STATE</td>
                <td colspan="2">@Model.Data.Buyer.BillingAddressState</td>
                <td colspan="2" class="custStyle"> ZIP CODE</td>
                <td colspan="1">@Model.Data.Buyer.BillingAddressZipCode</td>
            </tr>

            <tr>
                <td colspan="1" class="item2"> HOME PHONE NO.</td>
                <td colspan="2">@Model.Data.Buyer.HomePhone</td>
                <td colspan="2" class="custStyle"> MOBILE PHONE NO.</td>
                <td colspan="6">@Model.Data.Buyer.Mobile</td>

            </tr>
            <tr>
                <td colspan="1" class="item2"> NAME OF SALES REP.</td>
                <td colspan="2">@Model.Data.SellerName</td>
                <td colspan="1" class="custStyle"> SALES REP.PHONE</td>
                <td colspan="3">@Model.Data.SellerPhone</td>
                <td colspan="2" class="custStyle"> SALES REP.CODE</td>
                <td colspan="2">@Model.Data.SellerCode</td>
            </tr>
            <tr style="visibility:hidden;">
                <td style="height: 0; " width="200px"></td>
                <td style="height: 0; " width="75px"></td>
                <td style="height: 0; " width="225px"></td>
                <td style="height: 0; " width="75px"></td>
                <td style="height: 0; " width="125px"></td>
                <td style="height: 0; " width="75px"></td>
                <td style="height: 0; " width="25px"></td>
                <td style="height: 0; " width="25px"></td>
                <td style="height: 0; " width="75px"></td>
                <td style="height: 0; " width="25px"></td>
                <td style="height: 0; " width="125px"></td>
            </tr>
        </table>

        <table style=" margin-top: 5px; width: 100%;">
            <tr style="font-size: 1rem; background-color:#366092">
                <td style="text-align: center; color: #fff;" colspan="12">INSTALLATION DETAILS</td>
            </tr>

            <tr>
                <td class="item2">REQUEST DATE</td>
                <td colspan="10" class="mystyle">
                    @Model.Data.InstallationInfo.RequestDate.ToString("MM/dd/yyyy")
                </td>
            </tr>
            <tr>
                <td colspan="1" class="item2"> *FIRST NAME (AS IN ID)</td>
                <td colspan="2">@Model.Data.InstallationInfo.FirstName</td>
                <td colspan="2" class="custStyle">*LAST NAME (AS IN I.D.)</td>
                <td colspan="6">@Model.Data.InstallationInfo.LastName</td>
            </tr>

            <tr>
                <td colspan="1" rowspan="2" class="item2">
                    INSTALLATION ADDRESS<br>(If different from the above current
                    address)
                </td>
                <td colspan="1" class="custStyle"> STREET</td>
                <td colspan="6">@Model.Data.InstallationInfo.AddressStreet</td>
                <td colspan="2" class="custStyle"> APT #</td>
                <td colspan="1">@Model.Data.InstallationInfo.AddressApt</td>

            </tr>
            <tr>
                <td colspan="1" class="custStyle"> CITY</td>
                <td colspan="3">@Model.Data.InstallationInfo.AddressCity</td>
                <td colspan="1" class="custStyle"> STATE</td>
                <td colspan="2">@Model.Data.InstallationInfo.AddressState</td>
                <td colspan="2" class="custStyle"> ZIP CODE</td>
                <td colspan="1">@Model.Data.InstallationInfo.AddressZipCode</td>
            </tr>

            <tr>
                <td colspan="1" class="item2"> PHONE (HOME)</td>
                <td colspan="2">@Model.Data.InstallationInfo.HomePhone</td>
                <td colspan="2" class="custStyle"> MOBILE</td>
                <td colspan="6">@Model.Data.InstallationInfo.Mobile</td>

            </tr>
            <tr>
                <td colspan="1" class="item2"> OPTION</td>
                <td colspan="2">@Model.Data.InstallationInfo.Option</td>
                <td colspan="2" class="custStyle"> MEMBERSHIP</td>
                <td colspan="6">@Model.Data.InstallationInfo.Membership</td>
            </tr>
            <tr>
                <td class="item2">REMARKS</td>
                <td colspan="10" class="mystyle">
                    @Model.Data.Remarks
                </td>
            </tr>
            <tr style="visibility:hidden;">
                <td style="height: 0;" width="200px"></td>
                <td style="height: 0;" width="75px"></td>
                <td style="height: 0;" width="225px"></td>
                <td style="height: 0;" width="75px"></td>
                <td style="height: 0;" width="125px"></td>
                <td style="height: 0;" width="75px"></td>
                <td style="height: 0;" width="25px"></td>
                <td style="height: 0;" width="25px"></td>
                <td style="height: 0;" width="75px"></td>
                <td style="height: 0;" width="25px"></td>
                <td style="height: 0;" width="125px"></td>
            </tr>

        </table>

        <table style=" margin-top: 5px; width: 100%;">
            <tr style="font-size: 1rem; background-color:#366092">
                <td style="text-align: center; color: #fff;" colspan="12">INSTALLATION DETAILS</td>
            </tr>
            <tr>
                <td width="50px" style="text-align:center" class="item2">NO.</td>
                <td width="150px" class="item2">MODEL</td>
                <td width="100px" class="item2">QUANTITY</td>
                <td width="150px" class="item2">
                    CONTRACT DURATION
                    (RENTAL ONLY)
                </td>
                <td width="150px" class="item2">
                    REGISTRATION FEE
                    (RENTAL ONLY)
                </td>
                <td width="125px" class="item2">
                    MONTHLY RENT
                    (W/O TAX)
                </td>
                <td width="125px" class="item2">
                    SALES PRICE
                    (W/O TAX)
                </td>
                <td width="100px" class="item2">TAX</td>
                <td width="150px" class="item2">TOTAL (USD)</td>
            </tr>

            @foreach (var item in Model.Data.OrderItems)
            {
                <tr>
                    <td style="text-align:center">@item.No</td>
                    <td>@item.Model</td>
                    <td>@item.Quantity</td>
                    <td>@item.ContractDuration</td>
                    <td>@item.RegistrationFee</td>
                    <td>@item.MonthlyRent</td>
                    <td>@item.SalesPrice</td>
                    <td>@item.OrderTax</td>
                    <td>@item.Total</td>
                </tr>
            }
            <tr>
                <td colspan="8" class="item2" style="text-align: right;">GRAND TOTAL (USD)</td>
                <td></td>
            </tr>
            <tr>
                <td colspan="2" class="item2" style="text-align: left;">MONTHLY PAYMENT METHOD (RENTAL ONLY)</td>
                <td colspan="10"></td>
            </tr>
        </table>

        <table style=" margin-top: 5px; width: 100%;">
            <tr style="font-size: 1rem; background-color:#366092">
                <td style="text-align: center; color: #fff;" colspan="12">ACCEPTANCE AND APPROVAL</td>
            </tr>
            <tr>
                <td style="width: 100%;" colspan="12">
                    I am providing the information in this application to Coway USA Inc. to apply for Coway Rental/Sale
                    Account.
                    By applying this account, I authorize and agree that:
                    • Coway may furnish this and other information about me (even if application is denied) and my
                    account to create and update their records, and to provide me with service
                    and special offers.
                    • Coway may make inquires if it considers necessary (including requesting reports from consumer
                    reporting agencies and other sources) in evaluating my application, and
                    for purposes of reviewing, maintaining or collecting my account.
                    • If the application is approved, Coway will send agreement and set up a delivery date.
                    • The agreement includes an arbitration provision that may limit my rights unless I reject that
                    provision under the agreement’s instructions.
                    This application and the Agreement are governed by federal and California law. Federal law requires
                    Coway to obtain, verify and record information that identifies you when
                    you open an account. Coway will use your name, address, date of birth, and other information for
                    this purpose. Please, note that you must reside in the United States and be
                    18 years or older to apply.
                </td>
            </tr>
            <tr style=" background-color:#366092">
                <td style="text-align: center; color: #fff; width: 50%;">CUSTOMER</td>
                <td style="text-align: center; color: #fff; width: 50%;">SALES REPRESENTATIVE</td>
            </tr>
            <tr>
                <td style="text-align: center; color: #fff; width: 50%;" class="SIGNATURE">
                    <p><label for="">SIGNATURE:</label><span><img src="@Model.Data.SignatureImage" alt="" width="100"></span></p>
                    <p><label for=""> DATE :</label><span></span></p>
                </td>
                <td style="text-align: center; color: #fff; width: 50%;" class="SIGNATURE">
                    <p><label for="">SIGNATURE:</label><span></span></p>
                    <p><label for=""> DATE :</label><span></span></p>
                </td>
            </tr>
        </table>
    </div>

</body>

</html>

<style>
    .SIGNATURE p {
        overflow: hidden;
        margin: 10px;
    }

    .SIGNATURE label {
        color: #000;
        display: inline-block;
        width: 200px;
        text-align: left;
        float: left;
        font-size: 12px;
    }
</style>